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Washington, DC rates for HCPCS L3702

Elbow Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.48 / $126.48 / $126.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.48 / $126.48 / $169.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.00 / $188.00 / $211.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $129.03 / $129.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.87 / $200.87 / $613.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.78 / $154.18 / $231.65